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|Title:||Prevalence of non-union and delayed union in proximal humeral fractures.|
|Epworth Authors:||van Bavel, Dirk|
|Other Authors:||Papakonstantinou, Maritsa|
|Keywords:||Proximal Humeral Fractures|
Victorian Orthopaedic Trauma Outcomes Registry
Department of Orthopaedics, Epworth HealthCare, Melbourne, Victoria, Australia.
Musculoskeletal Clinical Institute, Epworth HealthCare, Victoria, Australia
|Publisher:||Wiley Online Library|
|Citation:||ANZ J Surg. 2016 Sep 12. doi: 10.1111/ans.13756|
|Abstract:||BACKGROUND: Little is known about the prevalence of proximal humeral non-union. There is disagreement on what constitutes union, delayed union and non-union. Our aim was to determine the prevalence of these complications in proximal humeral fractures (PHFs) admitted to trauma hospitals. METHODS: The Victorian Orthopaedic Trauma Outcomes Registry identified 419 cases of PHFs, of which 306 were analysed. Three upper limb orthopaedic surgeons used X-rays to classify fractures according to the Neer classification and determine union. Twelve-item Short Form Health Survey scores were used to assess patient health and wellbeing. RESULTS: Of 306 cases, 49.4% reached union. Median time to union was 100 days (confidence interval 90-121). Of these, 17.0% united by 60 days, 8.5% united by 89 days and 23.9% united after 90 days, demonstrating 'prolonged delayed union'. There were 25 non-unions with a prevalence of 8.2%, most occurring in two-part surgical neck fractures. CONCLUSION: Our cohort of largely displaced PHFs admitted to trauma hospitals had a non-union prevalence of 8.2% and an overall delayed union prevalence of 32.4%. Consensus is required on definitions of non-union and delayed union timeframes.|
|Journal Title:||ANZ Journal of Surgery|
|Affiliated Organisations:||Department of Orthopaedics, Dandenong Hospital, Dandenong, Victoria, Australia.|
Victorian Orthopaedic Trauma Outcomes Registry, Melbourne, Victoria, Australia.
Department of Epidemiology and Preventive Medicine, School of Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, Australia.
Department of Orthopaedics, The Royal Melbourne Hospital, Melbourne, Victoria, Australia.
Department of Physiotherapy, Monash University, Melbourne, Victoria, Australia.
Department of Orthopaedics, The Alfred Hospital, Melbourne, Victoria, Australia.
Department of Orthopaedics, University Hospital, Geelong, Victoria, Australia.
School of Medicine, Deakin University, Geelong, Victoria, Australia.
Department of Surgery, The University of Melbourne, Melbourne, Victoria, Australia.
|Type of Clinical Study or Trial:||Cohort study|
|Appears in Collections:||Musculoskeletal|
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